Individual provider Active NPI

Jerry Glynn Newman Jr., MD

  • Forensic Psychiatry Physician
  • Cleveland, TN
National Provider Identifier
1962401760
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
40005 Issued in TN
Practice address
2150 N Ocoee St
Cleveland, TN 37311-3919
Phone
(423) 614-0122
Fax
(423) 478-8235
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 40005 TN Primary
Psychiatry Physician 2084P0800X 40005 TN

Addresses

Primary practice location

2150 N Ocoee St
Cleveland, TN 37311-3919

Mailing address

2150 N Ocoee St
Cleveland, TN 37311-3919
Phone (423) 614-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000834 TN Practitioner - Psychiatry 3779515507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Psychiatric Center, PCGroup PAC ID 5799717526, 4 clinicians

Practice addresses (Care Compare)

1723 Mount Vernon Dr NW
Cleveland, TN 37311-3539
Phone (423) 473-2633

Merit-based Incentive Payment System (MIPS)

Final score
20.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40005TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Psychiatric Center, PC Psychiatry CurrentSince Aug 1, 2005 Accepting new patients
Athens Regional Medical Center LLC Past Accepting new patients
Robert Stetson, MD, PLLC Psychiatry PastSince Oct 1, 2007 Accepting new patients
Athens Regional Medical Center LLC Past Accepting new patients

Locations

2150 N Ocoee St
Cleveland, TN 37311
Phone (423) 559-0013

1723 Mount Vernon Dr NW
Cleveland, TN 37311
Phone (423) 473-2633

Interoperability endpoints

  • Direct secure messaging: clevelandpsychiatriccenterpc.jerryglynnnewman@112374.advancedmd-direct.com
  • Direct secure messaging: dr_glynn_newman@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962401760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113919",
            "telephone_number": "423-614-0122",
            "fax_number": "423-478-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113919",
            "telephone_number": "423-614-0122",
            "fax_number": "423-478-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JERRY",
        "middle_name": "GLYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TN",
            "license": "40005",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "40005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.